The Karate Kid With Thigh Pain - Page #3
 

Lab Studies:
N/A

Other Studies:
X-ray Left Femur:Case Photo #2 Case Photo #3 no fracture or calcifications

Ultrasound Left Thigh:
0.5cm x 3.5cm cystic structure with a heterogenous appearance and doppler flow deep to the vastus medialis muscle

MRI Left Femur:Case Photo #4Case Photo #5Case Photo #6Case Photo #7
Intraosseous signal abnormality over a 25cm segment of the left femur from the proximal diaphysis to the distal metaphysis at which point there’s a cortical breach medially.
There is extraosseous extension of the lesion measuring 3.6cm x 1.4cm x 5.5cm in size along the periosteum.
CT Scan without contrast is recommended to help further determine the matrix of his lesion as the next diagnostic test.

CT Left Femur:Case Photo #1
Vascular malformation with both intra and extra-osseous components.

MRA Left Femur:Case Photo #8
Intraosseous and extraosseous low flow venous malformation with a large draining vein along the medial cortex.

Consultations:
Orthopedic Oncology
Interventional Radiology
Vascular Surgery

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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